This analysis of data from the Older People’s Oral Health Survey examined the residual dentition of 987 people living in residential aged care facilities. The most prevalent (24.7%; 95% CI 20.4, 29.7) dentate configuration was maxillary tooth-bounded saddles against a partially dentate lower. Younger people generally had less tooth loss and a higher prevalence of Kennedy classes II, III and IV. More females than males had a fully dentate arch. Māori were 8-fold more likely to have only mandibular anterior teeth. Upper dentures were worn more frequently than lower dentures. Various degrees of tooth loss were common with upper tooth-bounded saddles against partially dentate lower combination. Edentulous maxilla opposed by some standing teeth occurred in ≥25%, and was most common among those who were older and in Māori. Maxillary prostheses were more common than mandibular prostheses.